Dems protect backroom deals

The health care bill is in trouble, but a series of narrow deals — each designed to win over a wavering senator or key interest group — is alive and well, despite voter anger over the parochial horse-trading that marked the rush toward passage before Christmas.

With the exception of Nebraska Democratic Sen. Ben Nelson’s “Cornhusker Kickback,” which alienated independent voters and came to symbolize an out-of-touch Washington, none of the other narrow provisions that Senate Majority Leader Harry Reid inserted into the bill appear to be in any kind of danger as Democrats try to figure out the way ahead.

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Not only that, House liberals want to reopen the labor deal struck just days before Democrats lost their 60-vote majority — not to dial it back but to provide more generous protections from the tax on Cadillac insurance plans.

“For those of us who, in principle, are opposed to it, this gives us another chance to push for our basic principle,” said Rep. Sander Levin, a Michigan Democrat with strong ties to organized labor who sits on the tax-writing Ways and Means Committee. “It remains unsatisfactory.”

The flurry of last-minute deals helped sour Americans on the entire process, and the Massachusetts Senate election altered the trajectory of reform.

But Washington being Washington, none of that has cooled the appetite of senators and House members to tailor the bill to their specific needs — even though some Democrats worry that it could help destroy any chances of resurrecting reform, if lawmakers seem oblivious to voters’ concerns.

Nelson sacrificed his agreement with Reid to have the federal government forever pick up Nebraska’s share of a proposed Medicaid expansion, bowing to critics that included some in the Senate Democratic Caucus. Even House Speaker Nancy Pelosi (D-Calif.) has singled it out, saying her members will not consider the bill unless the Nebraska deal is removed.

But there is no visible movement to erase a Medicaid deal with Sen. Mary Landrieu (D-La.) that she has said is worth $300 million, three times the amount of Nelson’s agreement.

Or to strike a line item that exempts Blue Cross Blue Shield of Michigan from a 40 percent tax on insurers that provide expensive health plans. Or to remove a provision that sends an extra $500 million in Medicaid funding to Massachusetts and $600 million to Vermont for being leaders in providing health insurance to their residents.

“It is very clear from the process that took place in the final days of the bill that Americans are disturbed about the process,” said Sen. John Kerry (D-Mass.). “I believe it would be important for us to take out the egregious items.”